An external ankle fracture of 50 days requires X-rays to be taken to observe the fracture, and conservative or surgical treatment will be chosen depending on the situation. A 50-day-old fracture of the external ankle requires X-rays to observe the fracture because it is a fracture around the ankle joint. If the fracture is minor, alignment is acceptable, and there is no joint surface damage, conservative treatment can be used. The main modality is external fixation with a cast or brace. If the fracture is more serious and affects the joint surface, surgical treatment is needed. The main form of surgical treatment is internal fixation with incision and reduction plates, or screws, and effective treatment results can be obtained in most cases after surgery.